{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHARLES V TROWER","gend":0,"add":"4033 ESTATES LANE","city":"PORTSMOUTH","state":"VA","zip":237039999,"dob":"1948-09-27","age":"","mstatus":"","insh":11004394,"cliId":"4R71JP8MH02","pno":7579669918,"cno":"","email":"","ename":"","eno":"","pphy":"BHOWMIK, NIHAR R","ppno":7573990701,"pcpadd":"301 Goode Way","pcpcity":"Portsmouth","pcpstate":"VA","pcpzip":237042266,"pcpcounty":"PORTSMOUTH CITY","pcpid":"P0060166","pcpname":"BHOWMIK MEDICAL PRACTICE"},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["Z01.818","R00.1","I44.0","N40.1","R35.0","Q63.1","H40.1134","R13.10","T17.998A","K21.9","K59.00","K30","M19.90","Z79.899","R63.4","N40.0","Z68.20","Z00.01","K21.0","M45.2","F72","N39.3","Z68.22","M54.2","M17.12","M62.831","L60.0","Z23","R35.1","T17.308A","M25.562","F79","F88","R07.9","R10.9","R11.2","R19.7","Z82.49","C61","K21.00"],"date":["2019-01-02","2019-01-02","2019-01-02","2020-10-26","2019-01-09","2019-01-09","2020-05-22","2019-09-30","2019-04-25","2019-06-14","2019-01-25","2019-02-06","2019-02-12","2020-01-12","2019-04-25","2020-10-07","2019-04-30","2019-09-30","2019-09-30","2020-10-07","2020-10-07","2020-10-07","2020-10-07","2018-12-11","2018-12-11","2019-10-15","2019-10-15","2018-11-08","2020-01-12","2018-11-28","2018-12-11","2018-12-18","2018-12-18","2020-01-12","2020-01-12","2020-01-12","2020-01-12","2020-01-12","2020-09-15","2020-10-07"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}